PET - Plain English Taxonomy

Attribute: PL18817
Concept:
Label: Fund benefits
Concept Guidance:
This is the value, during the relevant period, for the benefits paid by the private health insurance fund. 
Dimensions
Dimension Member Description
(KnownGapAgreement)
This dimension categorises the reported data according to whether there is an agreement between a medical practitioner and an insurer, in relation to the benefit paid by the insurer relative to the fee charged by the medical practitioner.
The information reported is in relation to an agreement where the difference between the amount of benefit paid by the insurer and the fee changed by the medical practitioner is a known amount, which is the out of pocket expenses to be paid by the insured person.
(AssistAtOperations)
This dimension categorises the reported data according to the speciality groupings as described in the Medicare Benefits Schedule book.
The information reported is in relation to assistance at operations.
(HospitalAndGeneralTreatmentCombined)
This dimension categorises the reported data according to the type of treatment services provided.
The information reported is in relation to treatments that are hospital treatment and general treatment.